REAL EXAM QUESTIONS AND CORRECT ANSWERS
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What lab abnormalities are common in opioid use
disorder? - ANSWER-
Elevated CK (creatine kinase) - Rhabdomyolysis
in overdose
Hypoxia - Due to respiratory
depression
Low testosterone levels - Due to chronic
opioid use
For induction of opioid detoxification, an initial methadone
dose - ANSWER-15
to 20 mg will usually suppress craving and
withdrawal symptoms.
Over several weeks, the dosage should be raised to at least 70
mg a day. The
,maximum dosage is usually 120 mg a day, and higher
dosages require
The initial dosage of naltrexone for the treatment of
opioid or alcohol
dependence is - ANSWER-50 mg
a day,
Common side effects of buprenorphine include - ANSWER-
constipation, nausea, headache, upset stomach, excessive
sweating, somnolence, and decreased interest in sex.
Treatment with buprenorphine is best suited for individuals
who – ANSWER-present with at least mild withdrawal
symptoms. Unlike methadone, there is little concern about
overdose during treatment initiation.
Buprenorphine has poor bioavailability and is usually
administered - ANSWER-
sublingually as a tablet or as
a film.
In the United States, methadone can be dispensed only
at - ANSWER-
, outpatient opioid treatment program (OTP) certified by SAMHSA
and registered
with the DEA or to a hospitalized patient in an emergency.
SAMHSA-certified
OTP facilities provide daily doses of methadone under direct
supervision until
the patient is stable enough to receive
take-home
Buprenorphine can also assist detoxification in the
outpatient setting The first day's dosing should occur under
medical supervision to – ANSWER-minimize the risk of
buprenorphine-precipitated withdrawal.
For buprenorphine The physician usually instructs patients to
arrive in withdrawal, which typically starts - ANSWER-12 hours
after the last dose of a short-acting opioid or 24 hours after a
long-acting opioid like methadone.
The first dose of buprenorphine is usually - ANSWER-2 mg, and
if there are no
signs of precipitated withdrawal, subsequent 2-mg doses are
given at the clinic
every 2 hours, with additional doses given to take at home, until
the elimination